MEDICARE: MISS CORINNE ELISABETH EPSTEIN RDN, LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	7794	MA

General Provider Information

NPI Number	:	1942023304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CORINNE ELISABETH EPSTEIN RDN, LDN

Provider Business Mailing Address
First Line	:	128 TANNERY RD
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-4841
Country	:	US
Telephone Number	:	413-786-2957
Fax Number	:	413-786-2977

Provider Business Practice Location Address
First Line	:	112 WESTFIELD ST STE C
Second Line	:
City	:	WEST SPRINGFIELD
State	:	MA
Zip	:	01089-2577
Country	:	US
Telephone Number	:	413-786-2957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	02/12/2026

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